Altered Behaviour- Speech Slurrness

Question

Asked for Male, 50 Years

68 year old male- Currently undergoing Immunotherapy ( Pembrolizumab 200 mg inj.on 3 weekly basis ) after Radiation and Medical therapies. Metastatic Renal Cell Carcinoma S/P Excision of Left Frontal Metastasis on October 2019. Last PET Scan 3 months back showed stable disease in bones and nodes. Patient is stable and active, but since last 3 days having Slurness in speech and difficulty to recall things. Impression of a CT scan taken today is attached. Seeking your valuable suggestions.

Answers (1)

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Dr. Anmol N Neurosurgeon 10 yrs exp Bangalore · Accepted Answer

Dr. Anmol N

Neurosurgeon 10 yrs exp Bangalore

You should get an mri brain contrast to look for new lesions and to differentiate with radiation necrosis. Consult your neurosurgeon. A low dose of steroids might benefit him and improve his speech. He should do well.

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